Pre-Qualification Worksheet

Customer Name(s):

Phone Number:

Address:

E-Mail:

Purchase/Refinance

Owner Occupied/Second Home/Investor/Lot

Salaried/Self-Employed/Commission

Complete the following:

Monthly Income

Borrower

Co-Borrower
Salary

Alimony

Child Support

Dividends

Other

Total

     

Monthly Debt

Borrower

Co-Borrower
Car Payment

Credit Cards

Student Loan

Child Support

Alimony

Other

Total

     

Total Liquid Assets

Borrower

Co-Borrower
Checking Account

Savings Account

Stocks/Bonds

Equity in Home

Cash from Sale of Home

Gift

Other

Total

Desired Loan Amount

 
  Consent for Credit Check  
I/We hereby authorize and request Joe Woodward to obtain my credit report for the purpose of this pre-application.
Social Security Number

 

 

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